Primary pancreatic lymphoma is a rare but treatable malignancy that may present as an isolated pancreatic mass. The authors report a case of primary pancreatic lymphoma in a 52-year-old female patient who had a 15-day history of epigastric pain.
The CT
scan showed a well defined isodense mass, about 5cm in diameter, in the second portion of duodenum is streched and displaced toward the right side. Bypercutaneous needle biopsy, histologic diagnosis was made as malignant lymphoma, mixed large and
small
cells, Tcell type according to the Working Formulation. The patients had received combination chemotherapy with CHOP(cyclophosphaide, doxorubicin, vincristine, predinisone). Epigastric pain and jaundice which was developed during the diagnostic
work-up
period were improved after one cycle of CHOP. However, the patient died of septic shock on the 56th day after the diagnosis.(Korean J Gastroenterol 1994 ; 26 : 892-898)
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